PoC Study of OBE022 in Threatened Preterm Labour

NCT ID: NCT03369262

Last Updated: 2021-06-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

115 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-10

Study Completion Date

2022-08-31

Brief Summary

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This is a proof-of-concept study in 2 parts.

In Part A, patients will receive OBE022 open-label in order to assess the safety and pharmacokinetics in pregnant women with spontaneous preterm labour with a gestational age between 28 0/7 and 33 6/7 weeks.

Part B has a double-blind, randomised, placebo controlled, parallel group and multicentre design and will assess the efficacy, safety and pharmacokinetics in pregnant women with threatened spontaneous preterm labour with a gestational age between 24 0/7 and 33 6/7 weeks.

All patients in part A and part B must receive atosiban infusion for 48 hours as standard of care treatment. Patients from Part A will receive OBE022 open label. Patients from Part B will be randomised to receive OBE022 or matching placebo. IMP treatment duration will be up to 7 days. IMP treatment will be stopped in case of delivery prior to Day 7.

Detailed Description

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Conditions

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Preterm Labor

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

A phase 2a, double-blind, parallel group, randomised, placebo controlled, added-on to atosiban.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Matching placebo.

Study Groups

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Active

OBE022 plus atosiban:

OBE022 will be given orally from Day 1 to Day 7. OBE022 treatment will be initiated ideally simultaneously or at a maximum within 24 h after atosiban start.

* Loading dose: 1 000 mg on Day 1.
* Maintenance dose on Day 1: 500 mg in the evening if loading dose was administered in the morning. If loading dose was administered in the afternoon, then the next dose will take place on the morning of Day 2.
* Maintenance dose from Day 2 to Day 7: 500 mg twice a day (only morning dose on Day 7)

Atosiban will be administered over 48h as per label.

Group Type EXPERIMENTAL

OBE022

Intervention Type DRUG

Oral

Atosiban

Intervention Type DRUG

I.V.

Placebo

OBE022 matching placebo plus atosiban:

OBE022 matching placebo administration will follow the same regimen as the active group.

Atosiban will be administered over 48h as per label.

Group Type ACTIVE_COMPARATOR

Placebos

Intervention Type DRUG

Oral

Atosiban

Intervention Type DRUG

I.V.

Interventions

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OBE022

Oral

Intervention Type DRUG

Placebos

Oral

Intervention Type DRUG

Atosiban

I.V.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Part A

* Pregnant females aged ≥ 18 years
* Patients with a singleton or twin pregnancy
* Gestational age between 28 0/7 and 33 6/7
* Administered or prescribed atosiban for the treatment of preterm labour

Part B

* Pregnant females aged ≥ 18 years
* Patients with a singleton or twin pregnancy
* Gestational age between 24 0/7 and 33 6/7
* Administered or prescribed atosiban for the treatment of preterm labour
* ≥4 uterine contractions per 30 minutes
* Cervical dilatation of 1 to 4 cm inclusive
* At least one of the following signs of preterm labour:

1. positive IGFBP-1 or fœtal Fibronectin test
2. cervical length ≤ 25mm
3. progressive cervical change

Exclusion Criteria

* Fœtal death in utero in current or previous pregnancy after gestational week 24 or expected high risk of fœtal death in the coming days
* Oligohydramnios
* Known pathological Doppler ultrasound of the umbilical artery
* Any contraindications for the mother or the fœtus to stop labour or prolong pregnancy or any maternal or fœtal conditions likely to indicate iatrogenic delivery in the next 7 days, including but not limited to:

1. Premature rupture of membranes
2. Evidence or suspicion of abruptio placenta
3. Signs and/or symptoms of chorio-amnionitis
4. Pre-eclampsia, eclampsia or HELLP-syndrome
* Use of cervical cerclage in the current pregnancy or a pessary in situ
* Current use of anti-hypertensive medication
* Treatment with other tocolytics within specified time before the baseline assessment of uterine contractions
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Scope International AG

INDUSTRY

Sponsor Role collaborator

Iqvia Pty Ltd

INDUSTRY

Sponsor Role collaborator

Cytel Inc.

INDUSTRY

Sponsor Role collaborator

PhinC Development

INDUSTRY

Sponsor Role collaborator

ObsEva SA

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Gynekologicko-porodnická klinika Fakultní nemocnice Brno

Brno, , Czechia

Site Status

Gynekologicko-porodnická klinika 1. LF UK a VFN v Praze

Prague, , Czechia

Site Status

Ústav pro péči o matku a dítě

Prague, , Czechia

Site Status

Helsinki Universisty Hospital

Helsinki, , Finland

Site Status

Hilel Yafe Medical Center, Maternal Fetal Unit

Haifa, , Israel

Site Status

Rambam Medical Center, Maternal Fetal Unit

Haifa, , Israel

Site Status

Meir Medical Center, Obstetrics and Gynecology Department

Kfar Saba, , Israel

Site Status

Rabin Medical Center, Fetal-Maternal Medicine, Helen Schneider's Hospital for Women

Petah Tikva, , Israel

Site Status

Moscow Regional Perinatal Center

Balashikha, , Russia

Site Status

Kazan State Medical University

Kazan', , Russia

Site Status

City clinical hospital № 15 named after O. M. Filatov of Healthcare Department of Moscow

Moscow, , Russia

Site Status

Perinatal center of the City Clinical Hospital #24

Moscow, , Russia

Site Status

Hospital La Paz

Madrid, , Spain

Site Status

Hospital Clínico Universitario Virgen de la Arrixaca

Murcia, , Spain

Site Status

Hospital Clínico Universitario de Santiago

Santiago de Compostela, , Spain

Site Status

Hospital Universitari i Politècnic La Fe

Valencia, , Spain

Site Status

Hanoi Obstetrics and Gynecology Hospital

Hanoi, , Vietnam

Site Status

My Duc Hospital

Ho Chi Minh City, , Vietnam

Site Status

Countries

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Czechia Finland Israel Russia Spain Vietnam

References

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Wilson A, Hodgetts-Morton VA, Marson EJ, Markland AD, Larkai E, Papadopoulou A, Coomarasamy A, Tobias A, Chou D, Oladapo OT, Price MJ, Morris K, Gallos ID. Tocolytics for delaying preterm birth: a network meta-analysis (0924). Cochrane Database Syst Rev. 2022 Aug 10;8(8):CD014978. doi: 10.1002/14651858.CD014978.pub2.

Reference Type DERIVED
PMID: 35947046 (View on PubMed)

Other Identifiers

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17-OBE022-003

Identifier Type: -

Identifier Source: org_study_id

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